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Individual

TAMARA DENISE CAUBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927
Mailing address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8631359
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
8631359
TX

Other

Enumeration date
02/06/2024
Last updated
02/06/2024
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